Provider Demographics
NPI:1528412152
Name:DELIGHTFUL PT SERVICES P. C.
Entity Type:Organization
Organization Name:DELIGHTFUL PT SERVICES P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MOMAH
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:877-415-6700
Mailing Address - Street 1:955 YONKERS AVE STE B2
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-3062
Mailing Address - Country:US
Mailing Address - Phone:877-415-6700
Mailing Address - Fax:914-801-5955
Practice Address - Street 1:955 YONKERS AVE STE B2
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-3062
Practice Address - Country:US
Practice Address - Phone:877-415-6700
Practice Address - Fax:914-801-5955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-20
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPT013295225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty